Contrast induced Nephropathy: Myth vs real?
Автор: SmartHospitalist
Загружено: 2026-01-24
Просмотров: 265
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@SmartHospitalist
🩺 “Your patient needs a CT with contrast… but their creatinine is 1.8. Do you cancel the scan to avoid ‘contrast-induced nephropathy’? Let’s look at the evidence.”
“For decades, we were taught that IV contrast causes AKI. The term ‘contrast-induced nephropathy’ became gospel, and patients often missed life-saving scans.”
“But newer studies tell a different story. Large meta-analyses comparing patients who got contrast CTs vs those who didn’t show no consistent increase in AKI.
In fact, most of what we thought was ‘contrast nephropathy’ was likely due to underlying illness, sepsis, or hemodynamic instability—not the contrast itself.”
This is a controversial topic where more research is needed. I would greatly appreciate your comments on how you approach this based on the evidence.
@SmartHospitalist
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